Organization
CROSS OXYGEN DELIVERY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DENISE CROSS (OWNER)
(505) 839-2904
Entity
Organization
Contact information
Practice address
6111 SUNRAY RD NW, ALBUQUERQUE, NM 87120-6140
(505) 839-2904
(505) 839-2904
Mailing address
6111 SUNRAY RD NW, ALBUQUERQUE, NM 87120-6140
(505) 839-2904
(505) 839-2904
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T26G
BLUE CROSS BLUE SHEILD OF NEW MEXICO
NM
05
—
Z7885
—
NM
Enumeration date
04/30/2008
Last updated
04/30/2008
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